Eco-Camp Registration

1. Your Name(required)
2. Name of Camper
3. Grade of Camper
4. 1 2 3 4
5. Day(s) camper will attend Eco-Camp (check all that apply)
6. Monday Tuesday Wednesday Thursday Friday
7. Name of Camper
8. Grade of Camper
9. 1 2 3 4
10. Day(s) camper will attend Eco-Camp (check all that apply)
11. Monday Tuesday Wednesday Thursday Friday
12. Address(required)
13. Phone Number (required)
14. Email
15. Emergency Contact Name and Number (required)
16. Allergies? (required)
17. How will you pay? Online with my credit card (please use shopping cart that appears after you submit this form) I will mail a check
18. How did you hear about this camp?
19. flyer from school NETC listserve NETC website from a friend
20. Are you interested in ride-sharing? If you choose yes your name, address and phone number will be shared with other parents.
21. yes no

 

If you wish to pay for camp, or your program, now please click “add to cart” below and then continue to checkout. Otherwise please mail a check to:
New England Tropical Conservatory
PO Box 4715
Bennington, VT 05201

Thank You.

To register for more than one day change the quantity in your cart!
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